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Ohio Health Insurance Exchange 2019

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The Affordable Care Act (ACA) requires that every state have an exchange where consumers can buy individual health insurance policies. In Ohio, the federal government runs the health insurance exchange. Ohioans who do not have health insurance through their employer, Medicare or Medicaid may be eligible to purchase coverage through the exchange. Open enrollment for coverage next year (2019) is November 1, 2018 to December 15, 2018. Below is a summary of Ohio’s individual market for 2019. The data is based on product filings the Ohio Department of Insurance reviewed and approved.

Ohio’s Health Insurance Market (2018–2019):

In 2018, 8 companies sold health insurance products on the exchange in Ohio and 42 counties had just one insurer with an additional 20 counties having only two.

For 2019, the department approved 10 companies to sell on the exchange. Based on the plan information the Department approved, all 88 counties will have at least one insurer. Filings show 16 counties with just one insurer and 33 counties with two.

Following implementation of the ACA, plan options and the premiums associated with those plans underwent significant changes. Since 2013, the Department has provided information prior to open enrollment each year as plans and premiums change. In 2018, the weighted average premium for an on-exchange individual market plan was $5,798.83 and for 2019 the weighted average premium is $6,161.56 - an increase of 6.3 percent.

All Ohioans who purchased health insurance through the federal exchange in 2018 will need to select a plan for 2019 during open enrollment, which begins November 1.

When will I be impacted by these changes if I buy on the exchange?

January 1, 2019. Open enrollment begins on November 1, 2018 and runs through December 15, 2018. You will need to choose a plan during this time if you want your coverage effective January 1, 2019.

I need assistance to understand my situation and my options. Who should I contact?

During exchange open enrollment, the best first step is to contact an agent or broker. Additionally, consumers looking to obtain coverage may contact the federal exchange in Ohio directly by visiting www.healthcare.gov or by calling 1-800-318-2596. However, if consumers are having problems with their current coverage, claims disputes, or other concerns with their policy they can contact the Ohio Department of Insurance at 1-800-686-1526.